| NPI | 1942737630 |
|---|---|
| Professional Name | GARY PADILLA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 7569) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 1569) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |